Individual
DR. MICHAEL EUGENE BOBLIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4422 W LOCUST ST, DAVENPORT, IA 52804-3028
(563) 386-2163
Mailing address
4422 W LOCUST ST, DAVENPORT, IA 52804-3028
(563) 386-2163
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6791
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6791
IOWA DENTAL LICENSE
IA
Enumeration date
09/04/2006
Last updated
07/08/2007
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